Coding Educator/Auditor

Why a Great Place to Work:

You’re more than your job. Everyone is. And that’s what makes you great at your job—all the little extras you bring to work every day, the things that make you you. At LCMC Health we value those things about you, because we know that all those little extras add up to extraordinary. And we’ve built a culture that supports and celebrates the extraordinary. You’ll see it when you come to work here, in the spirit of our places and the faces of our people. And every patient we heal, every family we comfort, every life we improve is the outcome of countless little extras adding up to an extraordinary result. Join LCMC Health, and you’ll find that our everyday makes it easy to live your extraordinary.  

Essential Function:

The Coding Educator Auditor will coordinate coding audits and education functions of LCMC system coding services. This individual will be responsible for managing and working the edit and denial coding work queues for inpatient, outpatient and ambulatory and will provide coding feedback for education opportunities identified to the coding team. Prepares and presents educational programs related to coding. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes, understand current professional coder workflows, reviews principal, secondary diagnoses and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT.

SKILLS AND ABILITIES

Knowledge as it relates to, but not limited to, electronic health record, health information systems and healthcare applications and their effects on Coding practices today and in the future.

High ethical standards.

Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines.

Experience in ICD-10-CM/PCS, auditing, coding and reimbursement training.

Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory and provider-based clinic encounters.

Extensive knowledge of hospital and professional coding including provider based billing.

Knowledge of documentation regulations of Joint Commission and CMS.

Experience with concurrent coding reviews.

Knowledge of medical terminology, classifications systems and vocabularies.

Knowledge of privacy and security regulations, confidentiality, laws, access and release of information practices.

Experience in assisting and identifying learning needs as well as providing education and training designed to support a learning organization.

Strong analytical abilities and problem-solving skills.

Excellent oral, written and interpersonal communication skills.

Ability to organize and set priorities to ensure objectives are met in a timely manner.

Ability to adapt to change and handle challenges proactively and with pose.

Ability to effectively collaborate with physicians and managerial staff at all levels.